AIM: To observe the efficacy of phacoemulsification with intraocular lens(IOL)implantation combined with goniosynechialysis in treating acute primary angle-closure glaucoma with cataract.

METHODS: Fifty-two eyes of 40 patients(52 eyes)from October 2009 to June 2014 in our department with acute primary angle-closure glaucoma combined with cataract were included in this study. All patients were undergone phacoemulsification with IOL implantation combined with goniosynechialysis through clear corneal incision at the temporal side and were followed up for 6mo.

RESULTS: Best corrected visual acuity was improved after surgery(P<0.01). The mean intraocular pressure(IOP)at 6mo after surgery was 15.76±2.09mmHg, significantly lower than preoperative IOP(P<0.01). Postoperative chamber angles were all wider than those after the surgery, and the closed quadrant of chamber angle adhesion opened in different degree. Preoperative anterior chamber depth was 1.97±0.29mm, postoperative anterior chamber depth increased to 2.83±0.35mm, and there was significant difference for the change(P<0.05). Malignant glaucoma and posterior capsule rupture was not observed during the follow-up. All IOL of operation eyes were in lens capsular bag, and the situation of deviation and clamping did not appear.

CONCLUSION: Phacoemulsification with IOL implantation combined with goniosynechialysis is a safe and effective treatment for acute primary angle-closure glaucoma combined with cataract in decreasing IOP and improving visual acuity.